Beware of these symptoms of acute pelvic inflammatory disease and do not ignore them!

The pelvic cavity is one of the most important parts of the female reproductive organs. If it is not properly cared for, pelvic inflammatory disease will have a great impact on women's future fertility. The disease is relatively acute when it occurs, and if it is not treated in time, the condition will become more serious. Let's take a look at the symptoms of acute pelvic inflammatory disease. After understanding the symptoms, if you feel uncomfortable afterwards, you can make a preliminary judgment and go to the hospital for treatment in time.

examine

Direct smear of secretions

The specimen may be vaginal, cervical, or urethral secretions, or peritoneal fluid (obtained from the posterior fornix, abdominal wall, or by laparoscopy), directly film smeared, dried, and stained with methylene blue or Gram's stain. The presence of multinuclear leukocytic Gram-negative diplococci indicates gonorrhea. Because the detection rate of endocervical gonococci is only 67%, a negative smear does not exclude gonorrhea, and a positive smear is very specific. Fluorescent monoclonal antibody dyes can be used for microscopic examination of Chlamydia trachomatis; a single star-shaped fluorescent spot under a fluorescent microscope is positive.

Pathogen culture

Samples from the same source should be inoculated on thyer-martin medium immediately or within 30 seconds, incubated at 35°C for 48 hours, and identified by glycolysis. This method replaces the traditional method for detecting Chlamydia trachomatis and can be used for the detection of Chlamydia trachomatis antigens in mammalian cell culture. The average sensitivity is 89.5% and the specificity is 98.4%. Bacterial culture can also obtain other aerobic and anaerobic strains and serve as the basis for selecting antibiotics.

Posterior fornix puncture

Posterior fornix puncture is one of the most commonly used and valuable diagnostic methods for gynecological acute abdomen. The contents of the abdominal cavity or rectouterine fossa obtained by puncture, such as normal ascites, blood (fresh, old, coagulated, etc.), purulent secretions or pus, can further clarify the diagnosis, and microscopic examination and culture of the punctured material are more necessary.

ultrasound

When the fallopian tubes, ovaries and intestines fuse together to form a mass or abscess, the accuracy of this technology is as high as 85%. However, mild or moderate pelvic inflammatory disease is difficult to show characteristic features in B-ultrasound images.

Laparoscopy

If it is not diffuse peritonitis and the patient's general condition is good, laparoscopy can be performed in patients with pelvic inflammatory disease or suspected acute abdominal pelvic inflammatory disease and other patients. Laparoscopy can not only clarify the diagnosis and differential diagnosis, but also preliminarily determine the extent of pelvic inflammatory disease.

Male partner examination

This helps diagnose PID in women. A direct smear stain or gonorrheal culture of the male partner's urethral discharge, if positive, is strong evidence, especially in asymptomatic or mild cases. Or you may find more white blood cells. Treating all male partners with PID, with or without urethritis, is important to reduce recurrences.

The main symptoms of acute pelvic inflammatory disease are as follows:

1. Lower abdominal distension and pain, muscle tension, tenderness and rebound pain, accompanied by symptoms such as rapid heartbeat, frequent urination and painful urination.

2. Some patients have low immunity, long-term insomnia, poor spirits, etc., which lead to symptoms of neurasthenia, such as loss of appetite, lack of energy, insomnia, and general discomfort.

3. Symptoms such as high fever, headache, and chills appear.

4. Some patients may experience complications such as irregular menstruation, dysmenorrhea, increased leucorrhea, cervical congestion, and infertility.

5. During the gynecological examination, it was found that the vaginal mucosa was congested, with a large amount of purulent secretions, and the secretions contained a large number of white blood cells; there was obvious cervical lifting pain, the uterus was enlarged or slightly enlarged, with obvious tenderness, and obvious tenderness in the adnexa.

Warm reminder: The above are the symptoms of acute pelvic inflammatory disease. I hope that female friends can better understand acute pelvic inflammatory disease after reading it. In fact, if you want to avoid the occurrence of acute pelvic inflammatory disease, you should pay attention to personal hygiene and eating habits, develop good living habits, have regular gynecological examinations, and treat the disease as soon as possible, so that the body will not be damaged by the disease.